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| Plan Name | LIFE INSURANCE PLAN FOR EMPLOYEES OF MEDINA GENERAL HOSPITAL |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MEDINA HOSPITAL, INC. |
| Employer identification number (EIN): | 340733166 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2009-01-01 | RON ROBINSON | RON ROBINSON | 2010-10-14 | |
| 502 | 2009-01-01 | RON ROBINSON | RON ROBINSON | 2010-10-08 |
| Measure | Date | Value |
|---|---|---|
| 2009: LIFE INSURANCE PLAN FOR EMPLOYEES OF MEDINA GENERAL HOSPITAL 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 802 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 0 |
| 2009: LIFE INSURANCE PLAN FOR EMPLOYEES OF MEDINA GENERAL HOSPITAL 2009 form 5500 responses | ||
|---|---|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | This submission is the final filing | Yes |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
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